Background
The built and natural environment and health are inextricably linked. However, there is considerable debate surrounding the strength and quality of the evidence base underpinning principles of good practice for built and natural environment design in promoting health. This umbrella review aimed to assess relationships between the built and natural environment and health, concentrating on five topic areas: neighbourhood design, housing, food environment, natural and sustainable environment, and transport.

There are indications that energy-retrofitted buildings can create risks for indoor environmental quality (IEQ) and therefore for health and comfort of occupants. A review was conducted to identify and verify those risks, within three themes: building envelope, heating, ventilating and air conditioning (HVAC)-systems, and occupants. Publications from the last five years in major peer-reviewed journals from different fields (energy, buildings, indoor air, social sciences) were found by using a variety of keywords (health effects, occupant behaviours, energy-efficient retrofitting, etc.).

The white paper puts forward recommendations for the coordinated enhancement of policies, codes, and regulations. It lay out a framework for guidance for the Ministry of Housing and Urban Affairs (MoHUA), the Ministry of Health and Family Welfare (MoHFW), and the Review Committees of the Bureau of Indian Standards (BIS) for the National Building Code (NBC), to harmonise their actions for healthy affordable housing in urban areas.